Many HIV experts have recently become embroiled in a new controversy: Does an undetectable viral load translate to significant reduction in HIV transmission during sex? What message should be imparted by physicians to their patients who confront this situation in their daily lives?
In January 2008, an important and prestigious panel of experts from the Swiss Federal Commission for HIV/AIDS boldly produced the first-ever consensus statement saying that HIV-positive individuals on effective antiretroviral therapy and without sexually transmitted infections (STIs) are sexually non-infectious.
cannot transmit HIV through sexual contact." The Swiss also considered study data from Rakai, Uganda, where no transmission event occurred in individuals who had viral loads lower than 1,500 copies/ml, although this was a relatively small study.
In laymen's terms, this means that barebacking among HIV-infected persons who are on the cocktail who have undetectable viral load, would not transmit HIV to their partners.
Their opinion was based on a review of the medical literature and extensive discussion.
They concluded with this statement: "An HIV-infected person on antiretroviral therapy with completely suppressed viremia ('effective ART') is not sexually infectious, i.e.
Taking even a brief break from your meds can increase your viral load, as can having another illness like the flu or a sexually transmitted infection (STI).We have had anal sex with no condom approximately 5-6 times where I was the top.However, I have NEVER *** in his mouth or his rectum. Regarding your potential infectivity for your HIV negative partner, there are no sure answers. The likelihood of transmitting infection to your partner would vary with your viral load.(another caveat to these data is that the data are all for heterosexual intercourse.There are currently studies underway to evaluate how risk for transmission changes with therapy 2.